Average Medicaid Office Visit Payments in Sebastian, FL: $34.87
Avg. Paid
$34.87
Range
$0.00 – $85.30
Total Claims
66,282
Providers
47
Typical Payment Range
Typical Medicaid Office Visit payments fall between $29.28 and $67.92 per claim (median: $46.55). The top 10% of payments exceed $95.29.
Based on per-provider averages across all Medicaid claims in this category.
A standard doctor's office visit for evaluation and management of medical conditions. Includes new patient visits, follow-up visits, and consultations.
Understanding these costs
The amounts shown are Medicaid reimbursement rates — what state Medicaid programs paid providers per claim. Medicaid typically pays well below private insurance rates and out-of-pocket prices. Use this data to compare relative costs between providers, not as a price estimate for privately insured or self-pay patients.
Providers Offering Office Visit in Sebastian, FL
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Marza Smith Penny
8005 Bay St |
$34.09 | 14,885 | 13,211 |
|
Daniel Alejandro Gutierrez
7765 144Th St Unit 1 |
$39.54 | 9,322 | 8,905 |
|
Gabriel Colon Caballero
801 Wellness Way Ste 200 |
$3.07 | 9,172 | 8,745 |
|
Kimberly Graziano
7935 Bay St |
$85.30 | 7,563 | 5,815 |
|
Arleene Michelle Sepulveda
13832 Us Highway 1 |
$29.73 | 4,481 | 4,141 |
|
Sandra K Wechsler
13505 Us Highway 1 |
$35.00 | 4,203 | 3,877 |
|
Thomas A Haffey
7754 Bay St Ste 6&7 |
$67.77 | 2,389 | 2,154 |
|
Shahida P Moizuddin
13505 Us Highway 1 |
$33.93 | 1,835 | 1,680 |
|
Quality Health Care Inc Of Florida
12920 Us Highway 1 |
$0.82 | 1,658 | 1,146 |
|
Barbara J Allen
14430 Us Highway 1 |
$17.48 | 1,453 | 1,131 |
|
Manuel Demarco Domagtoy
7915 83Rd Ave |
$25.79 | 1,416 | 1,190 |
|
Courtney Carroll Frazier
1627 Us Highway 1 Ste 207 |
$25.50 | 1,245 | 1,131 |
|
Sherise Melanie Stark
13505 Us Highway 1 |
$29.30 | 1,244 | 1,162 |
|
Hadi A Shalhoub
13110 Us Highway 1 |
$1.17 | 956 | 529 |
|
Tiffany Benson
13505 Us Highway 1 |
$84.41 | 817 | 777 |
|
Jose David Rivera-Jimenez
7754 Bay St |
$7.96 | 732 | 435 |
|
Julia Fuller
14430 Us Highway 1 Ste 101 |
$14.64 | 555 | 363 |
|
Noor Mohammed Merchant
13060 Us Highway 1 |
$12.91 | 366 | 310 |
|
Sydney Nichols
7955 Bay St Ste 2 |
$29.31 | 197 | 194 |
|
Muhammad M Siddiqui
13505 Us Highway 1 |
$27.63 | 178 | 168 |
|
Betty C Chukwuma
13505 Us Highway 1 |
$0.47 | 170 | 128 |
|
Elizabeth H Jarvis
932 Spruce St |
$19.78 | 158 | 126 |
|
Ronald J. Stern
989 Sebastian Blvd Unit 3 |
$4.68 | 140 | 115 |
|
Katherine E Skypek
801 Wellness Way Ste 107 |
$46.76 | 121 | 112 |
|
Laurie Ann Welton
1627 Us Highway 1 Ste 208 |
$12.08 | 101 | 67 |
|
Karl C Elser
801 Wellness Way Ste 107 |
$21.59 | 87 | 70 |
|
Itashia Cunningham
13505 Us Highway 1 |
$0.00 | 74 | 55 |
|
Eric M Finch
13832 Us Highway 1 |
$16.79 | 73 | 71 |
|
Saatiah Jaffry
7965 Bay St |
$1.57 | 69 | 60 |
|
Talib Hussain
7768 Bay St |
$30.09 | 66 | 52 |
|
Advanced Vascular Solutions, Llc
13100 Us Highway 1 |
$0.00 | 61 | 41 |
|
Tamsin Blanchard
12920 Us Highway 1 Ste A |
$26.48 | 60 | 50 |
|
Shahbaaz A Shaikh
7754 Bay St Ste 6&7 |
$2.94 | 59 | 39 |
|
Jason Mark Radecke
14430 Us Highway 1 |
$39.31 | 56 | 49 |
|
Patrick W Domkowski
14430 Us Highway 1 |
$9.17 | 47 | 24 |
|
Miciara Hernandez Perez
13840 Us Highway 1 |
$0.00 | 41 | 25 |
|
Paul Appleby
14430 Us Hightway 1 |
$53.51 | 31 | 27 |
|
Stephen Lee Blythe
13505 Us Highway 1 |
$49.55 | 29 | 27 |
|
Buena Vista Eyeland Inc
1619 Us Highway 1 |
$9.05 | 28 | 27 |
|
Michael P Tonner
12920 Us Highway 1 Ste A |
$0.19 | 23 | 12 |
|
Brielle Marie Buckley
801 Wellness Way Ste 107 |
$42.09 | 22 | 13 |
|
Sherri Madrid Anderson
13695 Us Highway 1 |
$26.58 | 19 | 16 |
|
Tania Lopez
7915 83Rd Ave |
$20.22 | 18 | 13 |
|
Todd Charles Hull
13000 Us Highway 1 Ste 5 |
$8.86 | 18 | 12 |
|
Pamela Brown
801 Wellness Way Ste 4 |
$11.32 | 16 | 15 |
|
Scott B Ahrndt
8745 N Us Highway 1 |
$36.29 | 14 | 14 |
|
Carlo Daniel Fodor
1619 Us Highway 1 |
$5.64 | 14 | 14 |
What to Expect: Office Visit
A typical office visit lasts 15-45 minutes depending on complexity. Your doctor will review your medical history, discuss symptoms, perform a physical exam, and discuss treatment options. You may receive prescriptions, referrals, or orders for diagnostic tests. Follow-up visits are usually shorter than new patient visits.
Cost Components
National average Medicaid payment per billing code. Individual rates vary by provider and state.
| Code | Description | Avg. Paid | Claims | Providers |
|---|---|---|---|---|
| 99213 | Office visit established mod | $43.18 | 764,306,590 | 487,602 |
| 99214 | Office visit established mod-hi | $59.53 | 502,480,931 | 466,856 |
| 99212 | Office visit established low | $41.69 | 92,299,154 | 127,462 |
| 99203 | Office visit new moderate | $67.55 | 47,756,882 | 127,334 |
| 99211 | Office visit established minor | $39.24 | 44,127,221 | 47,748 |
| 99204 | Office visit new moderate-high | $92.03 | 32,379,031 | 111,937 |
| 99215 | Office visit established high | $93.58 | 29,619,773 | 74,725 |
| 99202 | Office visit new low | $58.57 | 9,372,712 | 35,486 |
| 99205 | Office visit new high | $136.10 | 3,665,382 | 19,737 |
| 99244 | Office consultation mod-high | $118.25 | 3,405,681 | 11,884 |
| 99243 | Office consultation moderate | $78.55 | 2,585,480 | 8,432 |
| 99245 | Office consultation high | $132.29 | 645,300 | 3,046 |
| 99242 | Office consultation low | $58.27 | 483,445 | 1,980 |
| 99241 | Office consultation brief | $66.15 | 295,664 | 712 |
These are national Medicaid averages for each billing code. Actual amounts vary by state, provider, and complexity.
Frequently Asked Questions
How much does a Office Visit cost in Sebastian, FL?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Sebastian, FL is $34.87 per claim, based on 66,282 claims from 47 providers. Typical payments fall between $29.28 and $67.92. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.
How many providers offer Office Visit in Sebastian, FL?
There are 47 Medicaid providers offering Office Visit related services in Sebastian, FL according to public payment data.
What is the price range for Office Visit in Sebastian, FL?
Medicaid reimbursement for Office Visit in Sebastian, FL ranges from $0.00 to $85.30 per claim, with an average of $34.87. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Office Visit in Other Cities
Brooklyn, NY
Avg $71.20
32,336,840 claims · 5588 providers
New York, NY
Avg $81.86
23,551,154 claims · 7530 providers
Los Angeles, CA
Avg $24.20
16,948,065 claims · 5565 providers
Chicago, IL
Avg $30.31
13,989,780 claims · 5801 providers
Bronx, NY
Avg $82.40
13,626,712 claims · 3705 providers
Phoenix, AZ
Avg $47.53
13,269,420 claims · 4233 providers
Houston, TX
Avg $48.27
8,766,644 claims · 4540 providers
Las Vegas, NV
Avg $54.47
8,578,324 claims · 3512 providers
Other Procedures in Sebastian, FL
Vaccines & Immunizations
Avg $6.12
21,193 claims
Eye Exam
Avg $41.61
18,143 claims
Blood Work & Lab Tests
Avg $19.99
9,726 claims
EKG / ECG (Electrocardiogram)
Avg $6.35
8,784 claims
Physical Therapy
Avg $53.20
7,382 claims
Emergency Room Visit
Avg $59.56
5,920 claims
Hearing Test (Audiometry)
Avg $6.51
4,903 claims
Substance Abuse Treatment
Avg $103.18
2,945 claims